How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $269.15 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $251.19 Typical High $257.04 | Professional | 26 · Professional part | $229.09 | $251.19 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $40.74 | $52.48 | $52.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $630.96 | Professional | None (both parts) | $316.23 | $426.58 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $354.81 Typical High $524.81 | Professional | 26 · Professional part | $263.03 | $354.81 | $524.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $54.95 | $74.13 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $371.54 Typical High $630.96 | Professional | None (both parts) | $331.13 | $371.54 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $316.23 Typical High $489.78 | Professional | 26 · Professional part | $275.42 | $316.23 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $58.88 Typical High $112.20 | Professional | TC · Technical part | $34.67 | $58.88 | $112.20 |
Denver HMP Setting Facility Modifier None Typical Low $302.00 Median $389.05 Typical High $549.54 | Facility | None | $302.00 | $389.05 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $371.54 Typical High $630.96 | Professional | None | $239.88 | $371.54 | $630.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $309.03 Typical High $512.86 | Professional | 26 · Professional part | $199.53 | $309.03 | $512.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $64.57 Typical High $109.65 | Professional | TC · Technical part | $41.69 | $64.57 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $524.81 Typical High $602.56 | Facility | None | $281.84 | $524.81 | $602.56 |
Select Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $288.40 Typical High $416.87 | Professional | None (both parts) | $234.42 | $288.40 | $416.87 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $239.88 Typical High $338.84 | Professional | 26 · Professional part | $194.98 | $239.88 | $338.84 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $50.12 Typical High $69.18 | Professional | TC · Technical part | $39.81 | $50.12 | $69.18 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,621.81 | Facility | None | $1,348.96 | $1,412.54 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $562.34 | Professional | None (both parts) | $295.12 | $389.05 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $323.59 Typical High $489.78 | Professional | 26 · Professional part | $263.03 | $323.59 | $489.78 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $53.70 Typical High $112.20 | Professional | TC · Technical part | $35.48 | $53.70 | $112.20 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $134.90 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $53.70 | $61.66 | $61.66 |
Where Colorado sits
The same service costs 3.3 times more in Minnesota than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Colorado· 16th of 51
$398
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.